Conrad James Burghardt

Social Worker · Kenilworth, IL

Individual Active NPI

NPI number 1003506908

Practice location

400 Green Bay Rd
Kenilworth, IL 60043-1001
Phone
(847) 919-9096

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NPI record

NPI
1003506908
Entity type
Individual (Type 1)
Enumeration date
May 12, 2023
Last updated
May 12, 2023
Certified
May 12, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X — —

Mailing address

2025 Sherman Ave Apt 301
Evanston, IL 60201-3267
Phone
(847) 749-8796

About Conrad Burghardt

Conrad James Burghardt is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 400 Green Bay Rd, Kenilworth, IL 60043-1001. The NPI number 1003506908 was assigned on May 12, 2023 and the record was last updated on May 12, 2023.

Frequently asked questions

What is the NPI number of Conrad James Burghardt?

The NPI number is 1003506908.

What is the phone number of Conrad Burghardt?

The phone number listed for the practice location is (847) 919-9096.

Where is Conrad Burghardt located?

400 Green Bay Rd, Kenilworth, IL 60043-1001.

What is the taxonomy code for Conrad Burghardt?

The primary taxonomy code is 104100000X – Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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